A 74 years old with hemorrhagic stroke and dysarthria was brought to us. He had chief complaints of generalized weakness, loss of memory since last 6 months. There was history of fall that led to head injury, poor coordination and decrease muscle power of lower limb while walking.
Past medical history DM2 and HTN.
Specific Scales used pre rehabilitation: FIM+FAM = 96, MOTOR 86/100 AND SENSORY 112/112 And 112/112, NPRS = 7/10, BBS =7/56. BALANCE: Poor. GAIT: Hemiplegic gait. POSTURE: Scoliosis
Problems Identified: Weakness of B/L lower limb, core weakness, weakness of pelvic floor muscle, use of assessor muscle of inspiration and malalignment of clavicle.
Treatment goals: Decrease pain /tenderness of shoulder, maintain ROM rt. U/L AND L/L, improve muscle strength of core, improve posture, improve gait, improve balance, improve ADL independence.
Treatment Plan: Chest Physiotherapy (diaphragmatic and coastal breathing) , Upper limb and Lower limb range of motion ex., lower limb stretching, lower limb strengthening and core strengthening, gait training, balancing, and functional activity .
Precaution: To prevent fall from wheelchair/bed and during exercise.
Specific Scales used post rehabilitation: BBS= 12/56, motor 89/100, sensory 112/112 and 112/112, NPRS = 5/10.
Due to old age and difficulty in accessibility to our center we have started giving home visit to the patient twice a week.
